A nurse is caring for a client.
Complete the following sentence by using the list of options.
The first two actions the nurse should take are
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.
Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Infection (Option 1): The patient's WBC count has decreased from 8,000/mm³ (normal range) to 4,000/mm³ (below normal), indicating leukopenia. This puts the client at increased risk for infections, especially since they are undergoing chemotherapy, which can further suppress the immune system.
WBC count (Option 2): The decreased WBC count is a direct indicator of the risk for infection, as a low white blood cell count reduces the body’s ability to fight off infections.
Correct Answer is B
Explanation
A. Rapid chewing is not specific to dysphagia.
B. A garbled or "wet" voice is often a sign of dysphagia, as it can indicate difficulty with swallowing and risk for aspiration.
C. Sneezing is not typically associated with swallowing difficulties.
D. Increased hunger is unrelated to dysphagia and does not indicate difficulty swallowing.
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